A national comparison of burnout and work‐life balance among internal medicine hospitalists and outpatient general internists

Roberts, Daniel L.; Shanafelt, Tait D.; Dyrbye, Liselotte N.; West, Colin P.

doi:10.1002/jhm.2146

Cited by 87 publications

(74 citation statements)

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“…Dealing with more stress at home may increase the likelihood of work-home conflicts, which have been associated with burnout. 43 Because of the prevalence of burnout in our study and other recent studies [2][3][4]44 and increasing awareness of the importance of physician health and wellness, clinical guidelines have called for a need for increased emphasis and focus on the anticipation, early recognition, and avoidance of stressors related to burnout and other negative outcomes. 45 In this regard, a deeper knowledge of the factors associated with physician well-being, as reported in this study, affords steps toward the prevention, rather than treatment, of negative outcomes, including burnout, dissatisfaction, and poor health.…”

Section: Discussionmentioning

confidence: 62%

Work–Life Balance, Burnout, and Satisfaction of Early Career Pediatricians

2016

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Section: Discussionmentioning

confidence: 62%

Work–Life Balance, Burnout, and Satisfaction of Early Career Pediatricians

2016

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“…A recent assessment of HPC clinicians suggests a higher incidence of burnout (62%)(6) relative to hospitalists (52.3%)(23) and oncologists (44.7%). (24) Predictors of burnout among HPC clinicians include working over 50 hours per week or working on weekends, less experience, and practicing in isolation from peers.…”

Section: Harms and Causes Of Burnoutmentioning

confidence: 99%

Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative

Harrison

Dzeng

Ritchie

et al. 2017

Journal of Pain and Symptom Management

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Clinician burnout reduces the capacity for providers and health systems to deliver timely, high quality, patient-centered care and increases the risk that clinicians will leave practice. This is especially problematic in hospice and palliative care: patients are often frail, elderly, vulnerable and complex; access to care is often outstripped by need; and demand for clinical experts will increase as palliative care further integrates into usual care. Efforts to mitigate and prevent burnout currently focus on individual clinicians. However, analysis of the problem of burnout should be expanded to include both individual- and systems-level factors as well as solutions; comprehensive interventions must address both. As a society, we hold organizations responsible for acting ethically, especially when it relates to deployment and protection of valuable and constrained resources. We should similarly hold organizations responsible for being ethical stewards of the resource of highly trained and talented clinicians through comprehensive programs to address burnout.

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“…A fenti eredményeket megerősítette Shanafelt és munkatársainak az onkológusok kiégését leíró vizsgálata, amelyben úgy találták, hogy a nagyarányú érzelmi és fi zikai megterheltséggel járó munkavégzés sem vezet feltétlenül a burnout kialakulásához, amennyiben a gyógyítók elégedettek munkájukkal, munkavégzésük körülményeivel [12]. Szá-mos szerző további fontos indikátorként említi a munka és a család összeegyeztethetőségének nehézségeit, mint a kiégés folyamatában meghatározó tényezőket [13,14].…”

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Burnout among Hungarian physicians. Who are the most jeopardized?

Győrffy

Girasek

2015

Orvosi Hetilap

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Bevezetés: A kiégés a XXI. század orvoslásának egyik legnagyobb kihívást jelentő kérdése. Célkitűzés: A szerzők célul tűzték ki a magyarországi orvosok (n = 4784) kiégésmutatóinak felmérését, valamint e mutatók és a munkavégzés körülményeit érintő legmeghatározóbb aspektusok (munkaórák, ügyeleti munkavégzés, több munkahelyen való helytállás) összefüggéseinek elemzését. Módszer: Orvosok körében végzett országos, reprezentatív, online kvantitatív felmérés eredményeinek deskriptív elemzése. Eredmények: A vizsgálat azt mutatta, hogy hazai orvosok körében a teljesítményvesztés dimenziója a legmagasabb arányú, ezt követi az emocionális kimerülés, majd a deperszonalizáció faktora. A fi atal életkor (<35 év), a fekvőbeteg-ellátásban való munkavégzés, az ügyeleti munka, valamint a több munkahelyen való egyidejű helytállás a kiégés mindhárom dimenziójának meghatározó kockázati tényezője. Az orvos partner megléte a deperszonalizációt növeli, míg a gyerekszám protektív mindhárom aspektus esetében. Ugyanakkor a munka-család konfl iktus a kiégést egyértelműen növelő tényező. Következtetések: A betegellátásra, a lakosság egész-ségi állapotának alakulására nézve jelentős hatású a kiégés. Az eredmények fényében a prevenció és az intervenció kulcsszerepű. Orv. Hetil., 2015, 156(14), 564-570. Kulcsszavak: kiégés, orvosok, munkamegterhelés, munka-család konfl iktus Burnout among Hungarian physicians. Who are the most jeopardized?Introduction: Burnout is one of the most challenging questions of the healthcare systems in the 21st century. Aim: The aim of this study was to analyze the Hungarian physicians' burnout and its associations with workload factors (work hours, shift work, multiple workplaces). Method: Data of this representative, cross-sectional, online epidemiological study was obtained from online questionnaires completed by 4784 physicians. Results: Medium or high level personal accomplishment was present in 75.9% and emotional exhaustion in 58% among physicians, while medium or high level of depersonalization subscale was 53%. All of the 3 dimensions showed association with young ages (<35 years), work in in-patient care, shift hours and multiple workplaces. The physician partner increased the risk of depersonalization, however, children were protective factors. The work-home interface was associated with higher burnout scores. Conclusions: Physicians' burnout is an important indicator of the functioning and effectiveness of the healthcare system. The results suggest the importance of prevention and intervention.

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A national comparison of burnout and work‐life balance among internal medicine hospitalists and outpatient general internists

Abstract: BACKGROUND: General internists suffer higher rates of burnout and lower satisfaction with work-life balance than most specialties, but the impact of inpatient vs outpatient practice location is unclear.

Cited by 87 publications

References 44 publications

Work–Life Balance, Burnout, and Satisfaction of Early Career Pediatricians

Work–Life Balance, Burnout, and Satisfaction of Early Career Pediatricians

Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative

Burnout among Hungarian physicians. Who are the most jeopardized?

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